View Information Collection Request (ICR) Package
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Please note that the OMB number and expiration date may not have been determined when this Information Collection Request and associated Information Collection forms were submitted to OMB. The approved OMB number and expiration date may be found by clicking on the Notice of Action link below.
View ICR - OIRA Conclusion
OMB Control No:
0920-0234
ICR Reference No:
202412-0920-002
Status:
Active
Previous ICR Reference No:
202210-0920-012
Agency/Subagency:
HHS/CDC
Agency Tracking No:
0920-0234
Title:
National Ambulatory Medical Care Survey (NAMCS)
Type of Information Collection:
Revision of a currently approved collection
Common Form ICR:
Yes
Type of Review Request:
Regular
OIRA Conclusion Action:
Approved with change
Conclusion Date:
03/19/2025
Retrieve Notice of Action (NOA)
Date Received in OIRA:
12/23/2024
Terms of Clearance:
Inventory as of this Action
Requested
Previously Approved
Expiration Date
03/31/2028
36 Months From Approved
11/30/2025
Responses
36,291
0
83,206
Time Burden (Hours)
19,606
0
37,744
Cost Burden (Dollars)
0
0
0
Abstract:
The purpose of this request is for NAMCS to meet the needs and demands for statistical information about the provision of ambulatory medical care services in the United States; and fulfill NCHS’ mission to collect, analyze, and disseminate timely, relevant, and accurate health data and statistics. Additional justifications for conducting NAMCS include the need for more complete data to study: (1) the performance of the U.S. health care system, (2) care for the rapidly aging population, (3) changes in services such as health insurance coverage, (4) the introduction of new medical technologies, (5) the use of HCs in the health care community, and (6) the use of EHRs. Continue previously approved survey activities for the next 3 years, i.e., completion of the 2024 data year for HCs, conducting the full 2025, 2026, and 2027 data years. Approval to use non-substantive change requests to make small modifications or incorporate experimental and developmental work, including the implementation of planned changes for which the methodology has been explained in the currently approved supporting statements.
Authorizing Statute(s):
PL:
Pub.L. 111 - 5 1512
Name of Law: American Recovery and Reinvestment Act of 2009
US Code:
42 USC 242K
Name of Law: Public Health Service Act
Citations for New Statutory Requirements:
None
Associated Rulemaking Information
RIN:
Stage of Rulemaking:
Federal Register Citation:
Date:
Not associated with rulemaking
Federal Register Notices & Comments
60-day Notice:
Federal Register Citation:
Citation Date:
89 FR 77158
09/20/2024
30-day Notice:
Federal Register Citation:
Citation Date:
89 FR 104160
12/20/2024
Did the Agency receive public comments on this ICR?
No
Number of Information Collection (IC) in this ICR:
12
IC Title
Form No.
Form Name
(ACPI) Advanced Practice Provider and their Proxies (Survey year: 2025 & 2027)
0920-0234, 0920-0234
NAMCS Ambulatory Care Provider Interview (ACPI) Advanced Practice Provider and their Proxies
,
NAMCS Ambulatory Care Provider Interview (ACPI) Advanced Practice Provider Interview_10JAN2025
EHR for Visit Data (quarterly) (Survey year: 2025-2027)_ACP staff
0920-0234, 0920-0234
EHR Implementation Guide Templates
,
Attachment O2_NAMCS EHR Record Pulling Burden
(ACPI) Providers and their Proxies (Survey year: 2026)
0920-0234, 0920-0234
NAMCS Provider Facility Interview (PFI)
,
NAMCS Ambulatory Care Provider Interview (ACPI) Providers and their Proxies_10JAN2025
EHR for Visit Data (quarterly) (2024)
0920-0234, 0920-0234, 0920-0234
NAMCS Electronic Health Record (EHR): Pulling and Sending Records
,
National Health Care Surveys Release 1
,
HL7 CDA® R2 Implementation Guide: National Health Care Surveys Release 1,
EHR for Visit Data (quarterly) (Survey yr: 2025-2027)_HC staff
0920-0234, 0920-0234
EHR Implementation Guide Templates
,
EHR Implementation Guide
Health Center Component Facility Interview (Survey year: 2024)
0920-0234
2024 Health Center Component Facility Interview
Health Center Component Facility Interview (Survey year: 2025 & 2027)
0920-0234
2025-2027 Health Center Component Facility Interview
NAMCS Provider Facility Interview (PFI) (Survey year: 2025 & 2027)
0920-0234, 0920-0234
NAMCS Provider Facility Interview (PFI)
,
NAMCS Provider Facility Interview (PFI)_10JAN2025
NAMCS Tracing Questionnaire (Survey year: 2025 & 2027) _ Advanced
0920-0234
NAMCS Tracing Questionnaire (Survey year 2025 & 2027)
NAMCS Tracing Questionnaire (Survey year: 2026)
0920-0234
NAMCS Tracing Questionnaire
Set-up Fee Questionnaire (H/C staff) (Survey year: 2024)
0920-0234
Set-up Fee Questionnaire (2024)
Set-up Fee Questionnaire (H/C staff) (Survey year: 2025-2027)
0920-0234
Set-up Fee Questionnaire
ICR Summary of Burden
Total Approved
Previously Approved
Change Due to New Statute
Change Due to Agency Discretion
Change Due to Adjustment in Estimate
Change Due to Potential Violation of the PRA
Annual Number of Responses
36,291
83,206
0
-46,915
0
0
Annual Time Burden (Hours)
19,606
37,744
0
-18,138
0
0
Annual Cost Burden (Dollars)
0
0
0
0
0
0
Burden increases because of Program Change due to Agency Discretion:
Yes
Burden Increase Due to:
Miscellaneous Actions
Burden decreases because of Program Change due to Agency Discretion:
Yes
Burden Reduction Due to:
Miscellaneous Actions
Short Statement:
Currently there are 37,744 hours in the OMB inventory for NAMCS. The Program is requesting 22,107 total burden hours. The decreased sample size for the HC Component and the Provider Survey Component in the current NAMCS OMB package will decrease the requested burden by 15,637 hours.
Annual Cost to Federal Government:
$6,886,674
Does this IC contain surveys, censuses, or employ statistical methods?
Yes
Part B of Supporting Statement
Does this ICR request any personally identifiable information (see
OMB Circular No. A-130
for an explanation of this term)? Please consult with your agency's privacy program when making this determination.
Yes
Does this ICR include a form that requires a Privacy Act Statement (see
5 U.S.C. §552a(e)(3)
)? Please consult with your agency's privacy program when making this determination.
Yes
Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]?
No
Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]?
No
Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)?
No
Is this ICR related to the Pandemic Response?
Yes
Agency Contact:
Thelma Sims 4046394771
Common Form ICR:
Yes
Description/Changes for Common Form Usage:
The Survey contains fixed and rotational components, which will allow swift updates/additions when quick turnaround is necessary, for example the addition of COVID-19 questions during the 2020 data collection. The decreased sample size for the HC Component and the Provider Survey Component in the current NAMCS OMB package will decrease the requested burden hours.
Approved RCFs using this ICR
Agency/Sub Agency
RCF ID
RCF Title
RCF Status
IC Title
On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
(a) It is necessary for the proper performance of agency functions;
(b) It avoids unnecessary duplication;
(c) It reduces burden on small entities;
(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;
(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;
(f) It indicates the retention periods for recordkeeping requirements;
(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:
(i) Why the information is being collected;
(ii) Use of information;
(iii) Burden estimate;
(iv) Nature of response (voluntary, required for a benefit, or mandatory);
(v) Nature and extent of confidentiality; and
(vi) Need to display currently valid OMB control number;
(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.
(i) It uses effective and efficient statistical survey methodology (if applicable); and
(j) It makes appropriate use of information technology.
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
Certification Date:
12/23/2024